De Jesus, Ma Teresita Gonzales

De Jesus, Ma Teresita Gonzales is an sole proprietor health care provider with primary practice located at 2290 Crescent Moon St , Kissimmee FL 34746-2315. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. De Jesus, Ma Teresita Gonzales can be contacted via phone (305) 778-3537.

Contact Information

Primary practice address
2290 Crescent Moon St Kissimmee FL 34746-2315
Phone: (305) 778-3537
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 11003968 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11003968 Florida

Profile Details

NPI number 1518516137
LBN Legal business name De Jesus, Ma Teresita Gonzales
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2019
Last updated Sep 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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